>> on medicare advantage, it was supposed to save us money. it has not save us money. that is a true statement i am not familiar with the difference and outcomes. i have not studied that personally. i think that is very relevant to look at. >> i don't know the answer to one aspect. the design of medicare advantage and the way was designed to be reimbursed was the way was not supposed to happen. i don't think there is any evidence that in fact it is cherry picking. that is not the kind of medicare advantage i would want to have. this medicare advantage is not designed by may. i would have medicare and that is where the people are bidding rather than us telling them what they will get. i would have been bidding for what they are willing to take care of people for. that is a different kind of idea. i think we need to investigate how to get the incentives so that the suppliers have a reason to bid for what they will be supplying for us. what we are currently doing is not doing that. getting rid of medicare advantage will not help those either. >> what about the providers?